Nursing students’ reflections on an interprofessional placement in ambulatory care

Reflection has been identified as key to interprofessional education as it facilitates a focus on interprofessional communication, collaborative practice and professional roles, while contributing to debunking ingrained understandings of roles and behaviours. The aim of this study is to explore the written reflections of nursing students following an interprofessional placement in ambulatory care. A deductive analysis of nursing student reflective journal entries mapped against the university interprofessional framework was conducted. A purposeful sample of 19 graduate entry Master of Nursing Science students participating in a two-week interprofessional educational placement completed a reflective journal relating to an interprofessional placement in ambulatory care. The analysis of the journals found that all students were able to reflect on their interprofessional clinical experience, but the ability to reflect varied between students. Despite the challenges that some nursing students experienced in achieving deep levels of reflection, the study demonstrated the usefulness of incorporating reflective journals into nursing curriculums and as part of interprofessional practicums.     

Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective

Psychological safety plays a vital role in helping people overcome barriers to learning and change in interpersonally challenging work environments. This article focuses on two such contexts—health care and education. The authors theorize differences in psychological safety based on work type, hierarchical status, and leadership effectiveness. Consistent with prior research, the authors employ cross-industry comparison to highlight distinctive features of different professions. The goal is to illuminate similarities and differences with implications for future psychological safety research. To do this, the authors review relevant literature and present analyses of large data samples in each industry to stimulate further research on psychological safety in both sectors, separately and together.     

‘It's not supposed to be this way’: Psychological aspects of a premature menopause

Background: Premature menopause (menopause diagnosed at 40 years or under) is a challenging condition with no prevention or cure. Causes can be the result of surgical intervention or spontaneous and largely unknown. It affects 1–6% of women aged 14–40. Aim: This study investigated women's experience of diagnosis, perception of cause, treatment received, main concerns, perceived long‐term consequences and impact on psychological wellbeing. Method: A cross‐sectional single group design questionnaire study that included both quantitative and qualitative measures was used. It was distributed to women on the database of two specialist London clinics and an internet‐based patient support group. A thematic analysis was undertaken. Findings: The response rate was 62%. Women's experiences varied but showed common themes regardless of timing of diagnosis and services accessed. Improved understanding by health professionals could help this group accept and adjust to the condition more effectively as could psychological support. Fertility was a primary concern regardless of parity and there were several secondary impacts both physiological and psychological. Discussion: A clear need for the offer of emotional support was indicated for all, but particularly for teenage girls and single women who tended not to access support from their own social network. Conclusion: Young women with this diagnosis could benefit from the offer of counselling, though uptake may be influenced by individual factors and vary according to age and circumstances. A good understanding of the physical aspects of this condition is important in the counselling of this group.     

Social deviance activates the brain’s error-monitoring system

Social psychologists have long noted the tendency for human behavior to conform to social group norms. This study examined whether feedback indicating that participants had deviated from group norms would elicit a neural signal previously shown to be elicited by errors and monetary losses. While electroencephalograms were recorded, participants (N = 30) rated the attractiveness of 120 faces and received feedback giving the purported average rating made by a group of peers. The feedback was manipulated so that group ratings either were the same as a participant’s rating or deviated by 1, 2, or 3 points. Feedback indicating deviance from the group norm elicited a feedback-related negativity, a brainwave signal known to be elicited by objective performance errors and losses. The results imply that the brain treats deviance from social norms as an error.     

The implicit self and the specificity-matching principle: Implicit self-concept predicts domain-specific outcomes

According to the specificity-matching principle (Swann, Chang-Schneider, & McClarty, 2007), specific aspects of self-concept should predict domain specific outcomes, rather than broader outcomes. The purpose of the current study was to determine whether this principle, which has thus far been examined using explicit measures of the self, extends to the implicit self-concept. We tested this idea in the domain of math achievement. We observed that explicit math self-concept was correlated with specific outcomes (measures of math achievement), whereas explicit self-esteem was correlated with a broad outcome (satisfaction with life). Thus, we replicated the specificity-matching principle using explicit measures of self-esteem and self-concept. Moreover, we found that implicit self-concept was correlated with domain-specific outcomes, but not a global outcome, as the specificity-matching principle would predict. Furthermore, regression analyses indicated that implicit self-concept accounted for unique variance in the domain-specific outcomes, for which the other measures of the self could not account. Taken together, we conclude that the specificity-matching principle does indeed extend to the implicit self-concept.     

Psychometric properties of an experimental test for the assessment of basic arithmetic calculation efficiency / Propiedades psicométricas de una prueba experimental para la evaluación de la eficacia del cálculo aritmético básico

Abstract

In this article the ‘Arithmetic Calculation Efficiency Test’ (Test de Eficacia en el cálculo aritmético – TECA), a test for the assessment of arithmetic efficiency in terms of precision and speed in school-aged subjects, is introduced. The test aims to contribute to educational practices and the diagnosis of students who are at risk of Learning Difficulties in Calculations (LDC). Psychometric properties of the test items were analysed based on a sample of 331 subjects from grade 1 to 6 from Primary School. Analysis of content validity, item analysis, dimensionality and reliability have provided evidence of the validity of a one-dimensional structure consistent with the theoretical framework.     

Older,wiser, and happier? Comparing older adults’ and college students’ self-defining memories

The present study compared self-defining memories in adults 50 years of age and older to the self-defining memories of college students. Findings are largely congruent with previous memory and ageing research, but shed additional light on how personal memories are employed to achieve a sense of identity and continuity in older adults. Older adults’ self-defining memories, compared to those of younger adults, were more positive in emotional tone, more summarised and less detailed, and more likely to contain integrative meaning. The implications of these findings for assessing normative personal memory in older adults are discussed along with more general observations about narrative identity in older adulthood.     

The Human Simulation Lab—Dissecting Sex in the Simulator Lab: The Clinical Lacuna of Transsexed Embodiment

This article begins with an ethnographically documented incident whereby nursing students dissected a medical human simulator model and rearranged it so that the “male” head and torso was attached to the “female” lower half. They then joked about the embodiment of the model, thus staging a scene of anti-trans ridicule. The students’ lack of ability, or purposeful refusal, to recognize morphological biodiversity in medical settings indicates a lacuna in clinical imaginaries. Even as trans-identified and gender nonconforming people increasingly access care in the clinic, the lacuna of transsex—as a proxy term for non-binary embodiment—persists at the heart of clinical practice. This article concludes that we might engage in more ethical clinical practice if we recognize and affirm the trace of multiple forms of human being in the non-human simulator.     

Letting go of the present: Mind-wandering is associated with reduced delay discounting

The capacity to self-generate mental content that is unrelated to the current environment is a fundamental characteristic of the mind, and the current experiment explored how this experience is related to the decisions that people make in daily life. We examined how task-unrelated thought (TUT) varies with the length of time participants are willing to wait for an economic reward, as measured using an inter-temporal discounting task. When participants performed a task requiring minimal attention, the greater the amount of time spent engaged in TUT the longer the individual was prepared to wait for an economic reward. These data indicate that self-generated thought engages processes associated with the successful management of long-term goals. Although immersion in the here and now is undeniably advantageous, under appropriate conditions the capacity to let go of the present and consider more pertinent personal goals may have its own rewards.